# DERMA HAIR GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dermatex
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639707060
- **Authorized official:** JESSICA ANNE BORDER TRICHOLOGIST (VICE PRESIDENT)
- **Authorized official phone:** (858) 457-5496

## Contact information

- **Practice address:** 5703 OBERLIN DR STE 302, SAN DIEGO, CA 92121-1743
- **Practice address phone:** (858) 457-5496
- **Mailing address:** 5440 MOREHOUSE DR STE 2000, SAN DIEGO, CA 92121-6718
- **Mailing address phone:** (858) 457-5496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/31/2020
- **Last updated:** 07/13/2020